| NPI | 1679599526 |
|---|---|
| Doing Business As | LAKE ONE COMMUNITY PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | MARIE LAGUERRE Phcy Mgr 561-433-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21804) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-03-09 |